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Updated: Apr 26, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
The feasibility and acceptability of groups for pain management in methadone maintenance treatment
Declan T Barry1, Jonathan D Savant, Mark Beitel
1From the Yale University School of Medicine (DTB, MB, CJC, RSS, RDK, BAM, LO, MTJ, KMC), New Haven, CT; APT Foundation Pain Treatment Services (DTB, JDS, MB, CJC, LO, NK, CL), New Haven, CT; and VA Connecticut Healthcare System (RDK), West Haven.
Objectives:
Effective and safe pain management interventions in methadone maintenance treatment are needed.
Methods:
We examined the feasibility (ie, single-session attendance) and acceptability (ie, patient satisfaction and booster session attendance) of cognitive-behavioral therapy-informed groups for pain management-Coping With Pain, Relaxation Training, Group Singing, and Mindful Walking. Pre- and postsession measures were collected.
Results:
A total of 349 (out of a census of approximately 800) methadone-maintained patients attended at least 1 of the groups. Group satisfaction was high. Booster session attendance was numerically lower in Mindful Walking (14%) than in the other groups (at least 40%). Repeat attendance at Coping With Pain was associated with reduced characteristic pain intensity and depression, whereas repeat attendance at Relaxation Training was associated with decreased anxiety.
Conclusions:
Coping With Pain, Relaxation Training, and Group Singing are transportable, affordable, adaptable, and tolerated well by patients with pain and show promise as components of a multimodal pain management approach in methadone maintenance treatment.
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